Moore, Kelley Nicole

Moore, Kelley Nicole is an sole proprietor health care provider with primary practice located at 3745 Louisiana Ave S , St Louis Park MN 55426-4361. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Moore, Kelley Nicole can be contacted via phone (952) 926-0170.

Contact Information

Primary practice address
3745 Louisiana Ave S St Louis Park MN 55426-4361
Phone: (952) 926-0170
Fax: (952) 926-1125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 121059 Minnesota

Profile Details

NPI number 1417313784
LBN Legal business name Moore, Kelley Nicole
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2016
Last updated Jan 2nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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